Individual
HEATHER PAICELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3557 CAMPUS DR, THOUSAND OAKS, CA 91360-2744
(805) 241-2000
Mailing address
3557 CAMPUS DR, THOUSAND OAKS, CA 91360-2744
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15832
CA
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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